Provider Demographics
NPI:1750006300
Name:GARRIDO BARREIRO, WENDY T (RBT-22-235752)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:T
Last Name:GARRIDO BARREIRO
Suffix:
Gender:F
Credentials:RBT-22-235752
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:T
Other - Last Name:GARRIDO BARREIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT-22-235752
Mailing Address - Street 1:1750 W 46TH ST APT 337
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2882
Mailing Address - Country:US
Mailing Address - Phone:786-616-2398
Mailing Address - Fax:
Practice Address - Street 1:1750 W 46TH ST APT 337
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2882
Practice Address - Country:US
Practice Address - Phone:786-616-2398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-235752106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician